Request For Academic Transcript - Dalhousie University printable pdf download

Registrar’s Office

Office Use Only

Room 130, 6299 South Street



Edison

IBM

Hardcopy

Henry Hicks Academic Administration Bldg

Sent by: __________ Date: ___/___/___

PO Box 15000

Amount Paid: _____________

Halifax, NS B3H 4R2



Mail

Courier

Pick-up

Fax

Fax 902 494-1630

Request for Academic Transcript

Service

Student Information

Regular Service - Normal processing time for transcripts is

1. Student ID

five to seven working days from date received at the

Registrar’s Office.

Payment is required prior to processing.

2. Student full name, address and phone number (please print)

Fees: Maximum of 5 requested at one time are free. A $5

charge applies for each additional transcript beyond the five

requested at the same time.

Priority Service - If the request is received by the Registrar’s

Office by 3pm, it will be mailed or available for pick-up by

3pm in two working days. A fee of $15 for the first copy and

Postal Code

$5 for each additional copy.

Payment is required prior to processing.

Phone number

Additional Charges - You are responsible for prepayment of

any mailing charges in excess of regular first class mail: for

3. If you are a former student, please indicate:

example, courier charges, fax (fax charges: outside metro $10,



Last year of attendance _______________________________

overseas $15).



Program of study ____________________________________



Name under which you were registered

Method of Payment

__________________________________________________

Payment may be made by cash, cheque, Visa, MasterCard,



Date of Birth (optional)_______________________________

American Express or debit in person. Please do not send cash in the

mail or enclose it with forms placed in the drop-off box.

Type of transcript





Official (mailed to address below)

Credit Card Information





Official (in sealed envelope to student)

Please provide ONLY if requesting by mail, fax or drop-off box.





Student Copy



Visa

Credit Card #___________________________





Description of Dalhousie Integrated Science Program



Mastercard

Expiry Date ____________________________





Skills Transcript (for courses completed between

September 1998 and April 2005)



Amer Express Name of Cardholder______________________

Type of service

Processing Information





Two days





5-7 regular days processing

Please submit a separate form for each mailing address.

Send Transcript

A transcript request will not be processed if any university





as soon as possible

account is outstanding, or if payment, where appropriate, does



not accompany the request.



after December exams

Official transcripts will be sent directly to other universities,





after Finals

business organizations etc. Students will receive unofficial





after degree conferred

transcripts, unless an official transcript is specifically





May

requested. The official transcript will be in a sealed envelope,





October

not to be opened by the student.





Hold for grade change in: ______________

Student records are confidential and transcripts are issued only

Specify course

upon written request by the student.

5. Number of copies required ______________

Please allow from 5-7 working days for processing.

Students applying to academic programs at Dalhousie do not

Student’s Signature

Date

have to request a transcript, one will be sent when the

(Required)

_______________________________ ____________________

application is processed.

Address to which transcript is to be sent:

File number at destination (if applicable): ____________________

Note: Address must be complete within the address box provided to ensure prompt delivery

Student’s current name (only if different from enclosed transcript):

____________________________________

Transcript to be sent by:



Regular mail (please provide mailing address)



Courier - fee applies (please provide street address and phone number)



Pick - up (choose one)

Registrar’s Office

Postal code

Student Service Centre, Sexton Campus

Enrolment Services Centre, Truro Campus



Phone

Fax #

Fax - fee applies (please provide mailing address and fax number)

Request For Academic Transcript - Dalhousie University

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